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Chapter 1764: 【1764】The first delivery



  Some people are not afraid of accidents for themselves, but only for the people they love most and closest to.

   Every husband who is willing to accompany his wife into the delivery room can be praised for his courage.

   The psychological condition of the husband in bed number 1 is not much better than that of the husband in bed number 2 who begs the doctor next door to give his wife a cesarean section. Being able to hold on till now without crying is a very hardworking husband.

   A doctor who understands, like Dr. Peng, will first praise the family members: "Yes, I will accompany her until she has a natural birth..."

  The patient's husband was praised by the doctor as being a little cautious.

   Thinking that the third extra bed did not give birth smoothly, a group of doctors were very vigilant about the bad luck tonight. Transfer the mother to the delivery room. Dr. Peng and Dr. Zheng kept checking the indicators of various mothers and babies along the way.

   "Would you like to try delivering one?" Dr. Peng said to the two interns.

  With the patient's husband present, Geng once again took the initiative to avoid suspicion.

  Teacher gave the opportunity, Xie classmates will always try without thinking too much.

   Put on the surgical gown, sit on the seat where the teacher delivers the patient, and put your fingers in sterile gloves into the birth canal to touch and check the fetal head.

   This touch, and soon found an abnormality. She felt her gloves, hey, how could it feel that the direction of the baby's little head was not right.

   The fetal heart rate drops in the correct position of the fetus, indicating that it is not a bad breech and transverse position, but a head position. However, the fetal head position is also divided into several categories. The most correct is the anterior occipital position mentioned earlier. In the same head position, the baby's head can either face the mother's back or face the mother's belly. This is called the posterior occipital position, which is the most common malposition of the fetus before childbirth.

Another situation is that the doctor can touch the baby's forehead or the small facial features on the face when the doctor touches the birth canal of the mother. In this way, the baby's downward delivery posture becomes the "cause" (homonym "**") that faces the mother. **, it belongs to the transverse occipital position, and the probability of occurrence is second only to the posterior occipital position mentioned earlier.

  The occipital posterior position and the occipital anterior position will prolong the delivery time of the mother, hurt the baby's face, may cause acute distress symptoms of the fetus during the delivery, tear the mother's birth canal, and even cause rectal **** and perineum rupture and bleeding. The best birth position is always the anterior occipital position.

  Xie Wanying calmly recalled these knowledge points, and then touched it carefully, to distinguish that it was not the baby's face that she touched, and to find out where the back of the baby's head was in the mother's body. Touched three times to review, yes, it is the posterior occipital position, and the fetal position is not correct.

  Fortunately, this situation belongs to the more accurate fetal position when the baby's fetal head is down. Like the transverse occipital position, in this case, the doctor does not need to actively recommend a cesarean section, but instead assists the mother as much as possible to continue the natural delivery.

In the case of the posterior occipital position, it is only necessary to rely on the doctor's hand to reach into the "cause" (homonym "**** holding the baby's head to manually transfer the fetus back to the anterior occipital position. The success rate is much higher than that of the breech position transverse fetal transfer. , supported by relatively reliable technical methods.

   "What's your situation now?"

   Teacher Peng asked, and Xie Wanying replied, "It's the posterior occipital position."

   (end of this chapter)


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